Accurate cancer survival prediction requires integration of diverse data modalities that reflect the complex interplay between imaging, clinical parameters, and textual reports. However, existing multimodal approaches suffer from simplistic fusion strategies, massive computational requirements, and lack of interpretability-critical barriers to clinical adoption. We present EAGLE (Efficient Alignment of Generalized Latent Embeddings), a novel deep learning framework that addresses these limitations through attention-based multimodal fusion with comprehensive attribution analysis. EAGLE introduces four key innovations: (1) dynamic cross-modal attention mechanisms that learn hierarchical relationships between modalities, (2) massive dimensionality reduction (99.96%) while maintaining predictive performance, (3) three complementary attribution methods providing patient-level interpretability, and (4) a unified pipeline enabling seamless adaptation across cancer types. We evaluated EAGLE on 911 patients across three distinct malignancies: glioblastoma (GBM, n=160), intraductal papillary mucinous neoplasms (IPMN, n=171), and non-small cell lung cancer (NSCLC, n=580). Patient-level analysis showed high-risk individuals relied more heavily on adverse imaging features, while low-risk patients demonstrated balanced modality contributions. Risk stratification identified clinically meaningful groups with 4-fold (GBM) to 5-fold (NSCLC) differences in median survival, directly informing treatment intensity decisions. By combining state-of-the-art performance with clinical interpretability, EAGLE bridges the gap between advanced AI capabilities and practical healthcare deployment, offering a scalable solution for multimodal survival prediction that enhances both prognostic accuracy and physician trust in automated predictions.

With the rapid development of large language models (LLMs) and ever-evolving practical requirements, finding an efficient and effective alignment method has never been more critical. However, the tension between the complexity of current alignment methods and the need for rapid iteration in deployment scenarios necessitates the development of a model-agnostic alignment approach that can operate under these constraints. In this paper, we introduce Aligner, a novel and simple alignment paradigm that learns the correctional residuals between preferred and dispreferred answers using a small model. Designed as a model-agnostic, plug-and-play module, Aligner can be directly applied to various open-source and API-based models with only one-off training, making it suitable for rapid iteration. Notably, Aligner can be applied to any powerful, large-scale upstream models.

Multi-modal models require aligned, shared embedding spaces. However, common CLIP-based approaches need large amounts of samples and do not natively support 3D or tabular data, both of which are crucial in the medical domain. To address these issues, we revisit CLIP-style alignment by training a domain-specific 3D foundation model as an image encoder and demonstrate that modality alignment is feasible with only 62 MRI scans. Our approach is enabled by a simple embedding accumulation strategy required for training in 3D, which scales the amount of negative pairs across batches in order to stabilize training. We perform a thorough evaluation of various design choices, including the choice of backbone and loss functions, and evaluate the proposed methodology on zero-shot classification and image-retrieval tasks. While zero-shot image-retrieval remains challenging, zero-shot classification results demonstrate that the proposed approach can meaningfully align the representations of 3D MRI with tabular data.

LLM alignment ensures that large language models behave safely and effectively by aligning their outputs with human values, goals, and intentions. Aligning LLMs employ huge amounts of data, computation, and time. Moreover, curating data with human feedback is expensive and takes time. Recent research depicts the benefit of data engineering in the fine-tuning and pre-training paradigms to bring down such costs. However, alignment differs from the afore-mentioned paradigms and it is unclear if data efficient alignment is feasible. In this work, we first aim to understand how the performance of LLM alignment scales with data. We find out that LLM alignment performance follows an exponential plateau pattern which tapers off post a rapid initial increase. Based on this, we identify data subsampling as a viable method to reduce resources required for alignment. Further, we propose an information theory-based methodology for efficient alignment by identifying a small high quality subset thereby reducing the computation and time required by alignment. We evaluate the proposed methodology over multiple datasets and compare the results. We find that the model aligned using our proposed methodology outperforms other sampling methods and performs comparable to the model aligned with the full dataset while using less than 10% data, leading to greater than 90% savings in costs, resources, and faster LLM alignment.

Efforts to align Large Language Models (LLMs) are mainly conducted via Reinforcement Learning from Human Feedback (RLHF) methods. However, RLHF encounters major challenges including training reward models, actor-critic engineering, and importantly, it requires access to LLM parameters. Here we introduce Aligner, a new efficient alignment paradigm that bypasses the whole RLHF process by learning the correctional residuals between the aligned and the unaligned answers. Our Aligner offers several key advantages. Firstly, it is an autoregressive seq2seq model that is trained on the query-answer-correction dataset via supervised learning; this offers a parameter-efficient alignment solution with minimal resources. Secondly, the Aligner facilitates weak-to-strong generalization; finetuning large pretrained models by Aligner's supervisory signals demonstrates strong performance boost. Thirdly, Aligner functions as a model-agnostic plug-and-play module, allowing for its direct application on different open-source and API-based models. Remarkably, Aligner-7B improves 11 different LLMs by 21.9% in helpfulness and 23.8% in harmlessness on average (GPT-4 by 17.5% and 26.9%). When finetuning (strong) Llama2-70B with (weak) Aligner-13B's supervision, we can improve Llama2 by 8.2% in helpfulness and 61.6% in harmlessness. See our dataset and code at https://aligner2024.github.io